由类鼻疽伯克霍尔德菌引起的皮肤类鼻疽和坏死性筋膜炎。
Cutaneous melioidosis and necrotizing fasciitis caused by Burkholderia pseudomallei.
作者信息
Wang Yi-Shi, Wong Chin-Ho, Kurup Asok
机构信息
Changi General Hospital, Singapore.
出版信息
Emerg Infect Dis. 2003 Nov;9(11):1484-5. doi: 10.3201/eid0911.030370.
Abstract
In areas where melioidosis is endemic, stress on the healthcare system is substantial. Because clinical manifestations are protean, the illness is difficult to diagnose, and cutaneous Burkholderia pseudomallei infections can progress to necrotizing fasciitis. While it is and uncommon complication of cutaneous melioidosis, necrotizing fasciitis is potentially fatal and requires aggressive management, including early diagnosis, appropriate antibiotics selection and operative débridement.
摘要
在类鼻疽病流行的地区，医疗系统承受着巨大压力。由于临床表现多样，这种疾病难以诊断，而且皮肤型类鼻疽伯克霍尔德菌感染可能发展为坏死性筋膜炎。虽然坏死性筋膜炎是皮肤型类鼻疽病的一种罕见并发症，但它可能致命，需要积极治疗，包括早期诊断、选择合适的抗生素以及手术清创。
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